Wind cold vs Wind Heat TCM
Description
Episode Description:
In this episode, Dr. Richard Lai dives deep into a must-know topic for every acupuncture student and practitioner: how to differentiate between Wind Cold and Wind Heat patterns in Traditional Chinese Medicine (TCM). If you've ever found these patterns confusing—especially when prepping for board exams—you're not alone! Dr. Lai walks listeners through two exam-style case studies, highlighting the subtle but critical differences between the two. You’ll learn which clinical features, tongue and pulse signs, and classic symptoms set Wind Cold apart from Wind Heat—tips that will help you ace your exams and get better results in clinic.
Show Notes:
Introduction to the Episode
Dr. Lai shares his mission to make TCM concepts easier to understand and retain for students and practitioners.
Quick reminder to sign up for his "Quick Win" newsletter for weekly board exam questions and explanations in under five minutes.
Why Wind Cold vs Wind Heat Matters
This differentiation is a frequent board exam topic and an everyday clinical challenge.
Dr. Lai explains that though symptoms can overlap, recognizing key differences is essential.
Case Study 1: Wind Heat Pattern
25-year-old grad student, Tracy: mild sore throat, mild fever, nasal congestion, slight red tongue tip, thin yellow coating, floating and slightly rapid pulse, spontaneous sweating, scratchy throat.
Classic Wind Heat symptoms identified: yellow tongue coat, red tongue tip, fever, sore throat, floating-rapid pulse and sweating.
Dr. Lai breaks down the pathophysiology—how Wind Heat impairs the lung’s descending and dispersing function, resulting in upper body symptoms.
Case Study 2: Wind Cold Pattern
37-year-old PT, Raffi: body aches, runny nose, congestion, chills, cannot get warm, mild scratchy throat, no sweat, no thirst, pale tongue with thin white coat, floating and tight pulse.
Hallmarks of Wind Cold: tight pulse, strong chills, no sweating, pale tongue, thin white coating.
Discussion on how these findings help rule out interior cold and yang deficiency.
Dr. Lai emphasizes the importance of tongue and pulse in differentiating cases on the exam.
Quick Review & Tips
Key symptoms to distinguish Wind Heat vs Wind Cold
The importance of tongue color/coat, pulse quality, and specific symptom presentations.
How exams may offer tricky answer choices—look for the “most correct” answer based on the case details.
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Resources Mentioned:
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